Brandon Paul Goldenberg, PA-C
Physician Assistant in Miami, FL. Individual provider (NPI-1).
NPI number1316699481
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1316699481
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brandon Paul Goldenberg
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2022
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9115603 | FL | Yes |
| 363A00000X | Physician Assistant | 19415 | FL | |
| 363A00000X | Physician Assistant | 9115603 | FL |
Practice location
8950 N Kendall Dr Ste 407wMiami, FL 33176-2132
Phone 786-596-3876 · Fax 786-533-9989
Mailing address
Po Box 198054Atlanta, GA 30384-8054
Phone 786-596-3876
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